File Access Record - No Date

STATE OF NORTH CAROLINA
Department of Environment and Natural Resources
RALEIGH CENTRAL Office
FILE ACCESS RECORD
SECTION LQS Mining Program DATEITIME
NAME REPRESENTING
Guidelines for Access: The staff ofthe Central Office is dedicated to making public
records in our custody readily available to the public for review and copying. Wealsohave
the responsibility to the public to safeguard these records and to Carty out our day-to-day
program obligations. Please read carefully the following before signing the form.
I . Due to the large public demand for file access, we request that you call at least a
day in advance to schedule an appointment for file review so you can be
accommodated. Appointments are scheduled between 9:00 a.m. and 3:00 p.m.
Viewing time ends at 4:45 p.m. Anyone arriving without an appointment may
view the files to the extent that time and staff supervision are available.
2. You must specify files you want to review by mine name/permit no., as
appropriate. The number of files that you mgy review at one appointment will be
limited.to five.
3. You may make copies of a file when the copier is not in use by the staff and if
time permits. Cost per copy is 2.5 cents for ALL copies if you make more than
25 copies – there is no change for 25 or less copies. Payment is to be made by
check, money order, or cash in the administrative offices.
4. Files must be kept in the order you received them. Files may not be taken from
the office. No briefcases, la[ge totes, etc. are permitted in the file review area.
To remove, alter, deface', mutilate, or destroy material in public files is a
misdemeanor for which you can be fined up to $500.00.
5. In accordance with GS 25-3-612, a $25.00 processing fee will be charged and
collected for checks on which payment has been refused.
6. The customer must present a photo ID, sign -in, and receive a visitor sticker prior
to reviewing files.
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Signature/Name of Firm or Business Date Time In Time Out
Please attach business card to form if available